SHABACH! Christian Academy Homeschool Field Trip & Event Sign-Up Form:  Montpelier Farms (Pumpkin Patch)
DEADLINE: October 7th (form will close on deadline date)


CASH APP (to reserve spot for trip):
$ttabarez/ add note: farm trip

Email *
FIELD TRIP/EVENT: Montpelier Farms (Pumpkin Patch)-* no transportation

1720 North Crain Hwy., Upper Marlboro, MD 20774 https://www.montpelierfarms.com/

Date: Tues. Oct 25th/ Cost: $13 per. person/ Time:10am-1:00pm

  • Includes- feeding animals, rope maze, hayrides & much more. (Optional- student can bring $3 on day of field trip to purchase pumpkins 5 lbs. and under/ $.60 per pound all others)
  • Kids can stay at longer at farm with their parent (optional)
  • Bring Bag Lunch (note: no glass bottles allowed)
  • Must pay in advance
  • Elementary/ Middle/High School Students Welcomed!

Student's Name  (Last Name, First Name ): *
Grade: *
Student's Name  (Last Name, First Name ):
Grade:
Student's Name  (Last Name, First Name ):
Grade:
Student's Name  (Last Name, First Name ):
Grade:
Parent/Guardian (Last Name, First Name ): *
Parent/Guardian Primary Mobile Number: *
Will a parent/guardian be attending this field trip/event? *
Required
Attending Parent/Guardian (Last Name, First Name ):
IF DIFFERENT FROM ABOVE
Attending Parent/Guardian Primary Mobile Number:
IF DIFFERENT FROM ABOVE
 *
Number of Participants (please include ALL parents/guardians who will be attending along with ALL students in your participants tally): *
Sign-Up Confirmation Acknowledgement:

The participants listed above will be attending the field trip/event detailed therein. If our plans change and we are unable to attend field trip/event, I will inform the Field Trip & Planning Committee by contacting info@scahomeschool.net and will reference the field trip/event name listed above in the subject line of my email.

In observance of COVID-19 protocols my student(s) will wear a mask, the SHABACH! uniform, and follow the on-site/trip guidelines and Student Code of Conduct (students who have not completed the Student Code of Conduct Acknowledgement must do so IMMEDIATELY>>LINK).

I acknowledge that my student(s) will have to have a completed Student Code of Conduct on file before they will be permitted to attend any on-site classes, assessments, events, or activities.
 *
Required
A copy of your responses will be emailed to the address you provided.
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